Exam 4 - Neurodevelopmental Disorders Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

What are the most common neurodevelopmental disorders in children?

A

ADHD and separation anxiety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Developmental psychopathology

A

Study of origins and course of individual maladaptation in context of normal growth processes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Who is especially vulnerable to psychological problems? Why? (Important for short answer!!!)

A
  • Children
  • They do not have as complex and realistic view of themselves and their world as they will have later​
  • They have less self-understanding​
  • They have not yet developed stable sense of identity​
  • They have not yet developed a clear understanding of what is expected of them and what resources they might have to deal with problems
  • They have not developed the skills or resiliency to deal with stressors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What were the two childhood disorders included in the DSM-1?

A

Adjustment reaction disorder and childhood schizophrenia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

ADHD

A
  • impulsive, overactive behavior that interferes with ability to accomplish tasks
  • trouble with attention, tend to fidget
  • not well-liked by peers due to interruptive and hyperactive personality
  • can see symptoms before 8 y.o.
  • can have a genetic component
  • tend to have lower IQ
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How to help someone with ADHD in the classroom (bonus ?):

A
  1. Preferential seating (who and where are they sitting)
  2. Provide fidget tools to help with focus
  3. Don’t let tools become a distraction
  4. Use checklists and graphic organizers to help keep kids organized
  5. Write everything (instructions) down
  6. Give directions in manageable chunks
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the treatments for ADHD?

A
  • medications: stimulants are commonly used because they stimulate the part of the brain that controls focus, adderall is the most effective
  • behavior therapy
  • family therapy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Research suggests that some children with ADHD go on to have ADHD or other psychological problems later in life. True or false?

A

True, there is an association with aggressive behaviors and substance abuse that occur later on in life, and the frontal area of the brain is delayed developmentally, which can lead to a number of disorders.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Oppositional defiant disorder

A
  • recurrent pattern of negativistic, defiant, disobedient, and hostile behavior toward authority figures that persists for at least 6 months
  • diagnosed by 8 y.o.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Conduct disorder

A
  • persistent, repetitive violation of rules and disregard for rights of others
  • basically antisocial personality disorder but in kids, and the child is more likely to develop antisocial disorder later in life
  • children with conduct disorder most likely had Oppositional defiant disorder in the past
  • diagnosed by 9 y.o.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the possible causes of oppositional defiant disorder and conduct disorder?

A
  • biological factors: genetics and temperament
  • personal pathology
  • family patterns: reactions from parents can illicit behaviors from child
    - harsh, inconsistent parenting style can also cause this
    - marriage discord
  • peer relationships: seek out deviant peers, which reinforces their behaviors
  • lower socioeconomic status
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the effective treatments for oppositional defiant disorder and conduct disorder?

A
  • cohesive family model and behavioral techniques
  • families are taught how to produce a more structured environment, the child can be removed from the home
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is an ineffective treatment for oppositional defiant disorder and conduct disorder?

A

punitive treatments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Childhood Depression

A
  • consistently sad mood, which can be replaced by irritability
  • symptoms include: crying, withdrawal, aggression, difficulty sleeping, avoid eye contact, eat less, etc.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Childhood Bipolar disorder

A
  • extreme mood swings and aggressive, irritable behavior
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are some causal factors of childhood depression and bipolar disorder?

A
  • biological factors: higher risk if parent has a mood disorder
  • learning factors: learn maladaptive behaviors from parents
  • exposure to trauma
  • parental negative emotion/behavior
  • could be more common in divorced families
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Why is childhood bipolar disorder a controversial diagnosis?

A

because the diagnostic criteria is the same criteria used to diagnose adults, and the medications used to treat childhood bipolar disorder is also adult medication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the treatments for childhood bipolar disorder and depression?

A
  • antidepressants (effectiveness is limited because it is the form used for adults)
  • supportive emotional environment
  • CBT (more effective in children than adults)
19
Q

Functional enuresis

A
  • habitual bedwetting that is not organically caused, usually diagnosed if it occurs after 5 y.o.
  • common in boys
  • could be caused by stress or anxiety
20
Q

Somnambulism

A

sleepwalking, occurs in stages 3 and 4 of sleep

21
Q

Tics

A

persistent, intermittent muscle twitches or spasms, usually to a localized muscle group

22
Q

Tourette’s syndrome

A

Extreme tic disorder involving multiple motor and vocal tic patterns, multiple muscle groups

23
Q

What are pervasive developmental disorders, and what are some examples?

A

severely disabling conditions that are among the most difficult to understand and treat
- Autism and Asperger’s

24
Q

Autism

A
  • a spectrum disorder with a wide range of problematic behaviors:
    • social deficit
    • absence of speech/delayed speech
    • self-stimulation (repetitive motor behaviors)
    • impaired intellectual ability
    • preoccupation with maintaining sameness/do not like change
    • impaired motor development
  • cardinal sign is if the child is aloof, or alone, and prefers to be alone
25
Q

What is Autism caused by?

A

precise cause is unknown, but a fundamental disturbance of the central nervous system is likely involved

26
Q

What are the treatments for Autism?

A
  • best option is behavior modification techniques, but the efficacy of treatment depends on where the pt. is on the spectrum
  • medication is not effective but can help with self-harming behaviors
27
Q

Asperger’s Disorder

A
  • often referred to as autistic spectrum disorder
  • appears later and presents as severe delay in language development and social interactions
28
Q

What are the treatments for Asperger’s?

A

medication and behavioral treatment

29
Q

Learning Disabilities

A
  • clear impairment in school performance or daily living activities
  • impairment is not due to intellectual disability or pervasive developmental disorder
30
Q

Nonverbal Learning disability

A
  • R hemisphere deficit
  • affects spatial and arithmetic skills
31
Q

Dyslexia

A
  • a learning disability where an individual has problems with word recognition and reading comprehension
  • due to a deficit in the left temporal lobe (where language is controlled)
  • discrepancy in intellectual level and reading level (grade 8 but reads at a grade 4 level)
32
Q

What is a possible causal factor of learning disabilities?

A

subtle central nervous system impairments

33
Q

Because we do not yet have a confident grasp of what is wrong with the average LD child, we have limited success in treating these children. True or false?

A

True, which is why early assessment and intervention is critical

34
Q

Intellectual disability

A

significantly subaverage general intellectual functioning that is accompanied by significant limitations in adaptive functioning
- diagnosed in early childhood

35
Q

Mild intellectual disability

A
  • IQ ranges from 50 to 55-70
  • equivalent to an 8-12 y.o.
  • most common
  • educable
36
Q

Moderate intellectual disability

A
  • IQ ranges from 35-40
  • equivalent to a 4-7 y.o.
  • can possibly teach basic skills
37
Q

Severe intellectual disability

A
  • IQ ranges from 20-25
  • rudimentary language
  • sensory and motor impairments
38
Q

Profound intellectual disability

A
  • IQ range is below 20
  • usually due to significant damage
39
Q

What biological conditions could lead to mental disability (causal factors)?

A
  • genetic-chromosomal factors (ex: trisomy 21)
  • infections and toxic agents (like mercury and lead)
  • trauma
  • ionizing radiation
  • malnutrition
40
Q

What organic syndromes could be the cause of mental disability?

A
  • down syndrome (trisomy 21)
  • Phenylketonuria (child lacks enzyme that breaks down phenylalanine, which leads to mental disability)
  • cranial anomalies like macro/microcephaly and hydrocephalus
41
Q

What is the most successful form of treatment for mental disabilities? What treatment is the last resort?

A
  • education and inclusion programming
  • institutionalization
42
Q

What are the special factors associated with treatment of children and adolescents?

A
  • child’s inability to seek assistance
  • vulnerabilities that place children at risk (very dependent on others)
  • need for treating parents as well as children
  • using parents as change agents (teaching parents skills)
  • problems with placement outside family (removing the child from the home, last resort)
  • intervening before problems become chronic
43
Q

What does the child advocacy program that advocates for international recognition of rights of children do?

A

globally identify and treat childhood disorders